HomeMy WebLinkAboutBuilding Permit #03-0279
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ADDRESS
5020
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ LU~F
Main File
H GJl:,H!S
LEGAL DESCRIPTION (office use only)
LOT/~ BLOCK / ADDITION
OWNER? II
(Name) Tl/t1E- HomES tlr
(Address) &15' Jd,n/7/ /tits}
.$1
,?j/uJ Y (
BUILDER /AM1 C
(Name) ..::::n / / II'i.- '1
(Contact Name) tv /l:r" ,hLA-S C#H~
(Address)
TYPE OF WORK
p(New Construction
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
ODeck
I. White File
2. Pink City
3. Yellow Applicant
".;-
J (tA-J L
Date Rec' d
2~ "t5-03
PERMITNO'03-02711
"
ZONING (office use)
Pi//:)
PID 25 - 4-tJ2- 6/lP-O
SJiTC
(Phone) $/- ~SZ- -.52dJ
U-tM, A ~;?/
J I/tJ
I'
(Phone)
(Phone)~- ~Z/- 4/~
OPorch
ORe-Roofing
9/;, tJ9-5
, /
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a d7ee may
;tttuZ?,,";;?~ 7:c: - /37/ d!:-~-W ~
ff Ai~ture Contractor's License No. / Dare
/
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
191) ItJtJ, IJ()
$
$
I $
I $
I $
I $
$
$
, 9~3,7S .
/'Ot). 0/4 _
~s: 0 0
IOO,tJO
/fJa, Oa
35..50
~.()O
~
~p
This Application Becomes Your Building Permit When Approved
J'113/63
Building Official
Date
OAddition
OAlteration
#
#
#
#
$
$ 127S.tJO
$ e::J.5o.()0
$ 15.. 00
$ IzoQ,ao
$ 7{)~ . DO
$ 1'500.00
$
$61 ~/ 4.-. ~9
/J (
ReceipjNo. -1'3967
By .- I / ..
o
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document .
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~- ... -;t~
Planning Director
Park Support Fee
SAC
........-:::=00
I Water Meter Ciz~ 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
6/ri i:u:l
:J-/r~tJJ
3Irs~;/~ ~ial~
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
...H';,
Main File
White - Building
Canary - Enaineering
CPink _ - Planninv
The Cenler of Ihe Like ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'...""
.
NAME OF APPLICANT
I'.>~,:.I.,... 'L. ._,/-,--[.. f I ' t . ;:'. /~
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-,/. 7 () i /. ;;':';.::- )~.,!It~' i ..-. /...-1 /'-,.,-. /'2::. / .
~.../ , c-.._ ... .j l . I II ,____, '--"
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~ ";t~ Date: J!t~/o.3
Comments: ~ ~ ~-~ ~~
/
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Main File
<: White _-~
Canary - Engineering
Pink - Planning
The' Cf'nlrr of the' t.kr {'ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P(JL / f:;,' Hot1ES
Z - 2-5 -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5020 1>1.tJFF 1f6/6,rlTS 7/bL.
Accepted
Accepted With Corrections V-
Denied
Reviewed By: ~ 1~j:.J Date: 31/3/6 ~
, /
Comments: 4~ d.ll ~ ~-o--:f:o-
<111~ ~ ~ ~~ 4t-~
- I
(I~,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~ain File
White - Buildin~
'-..Canarv - EnQineeriffiP
Pink - Planning
The' Crntrr of fhr r..kr COunfry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i) C/ L I c.,,- ./-/ ()jl E,~__"
7- c:: C~~
L~ 2- :....;- ',,-~)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
?; 7/") //! / / t:" c..:- )-1 c-/ /' f-l-j<~' -.,/7E I .
__~-- ,~ v' L.;L.. t/ l! / Ie q I .! ; ',,-/ ' ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Date:
'3-& -03
Comments: -BeP. Rp.v..e.r~p Sidp. for Additional Information!
1I1l1,n F; 1-<,
Driveway M\J~t Have A Concrete Approach
Spp A tt::lchments. 1) Gnuiine Pl::l11, ?) Erosion C;ontrol ~sures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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CIT'\.' OF PR10R LAKE P l C:.-r3r>G PER..'\ITT
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PLUM3rNG PER.,,\(IT FE;::
ST.-\ TE SURCK~GE
TOTAL PERJ.frr FEE
'S
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s
.50
g,"/dim, Qflh:i,,1
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Till;; Applic:1r:oll Bcc:Jm~~ Your BLlildjn~ Pl:rmit When Approved
toO/H)'d
--
By
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J~~ I OJ:Jt'-ll El-Jrrld,\3lll::i('1 -.. '
mOC;-91-ddl::i
5- 6-03; 1: 1 4PM;
;952 894 0925
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~lKEPLACE PERMIT
Date Rec'd
(Please type or Print and sim at bottom)
ADDRESS ()} fI
~;;)O 0 U-' I
~. ~." ~::y PERMIT NO..~ ~ -, '7c,
), v.now Applicant L./ C7' / I
f-I-ts
'If.
ZONING (office use)
LEGAL DESCRIPTION (alike use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
\-\DY\us
NW PQ'{~W~ I Stu~ IlfD
(Phone) lo5/- L{ 5;2- 5;;) 00
~Oj{LI7. IVJN -S-J/dc2
p~ \t.
(Address) 1>' 5
APPLICANT
(Name)
(Phone)
OUf11;)ville Hooting & Ale, Int"
12481 Rhode Island Ave. So.
(Address) - ...... 6m2 "1"1"1
;;:I~Vtl!:lQ, ... dress) r-" ,
(Contact Person) J'vLl..\L _ \......:'\
APPLICANT SIGNATURE ~~ u l ) /\U).~{)b-YcN\
'0 ' \J
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL Lef) /'Jf5j 610;). Q;;<- SO FUEL tJ oJ.. jQ.s
FLUE SIZE RETURN OPENINGS S INPUT 'fi:.). 0 0 -0 OUTPUT tj b / 000
(City) (Zip Code)
(Phone) 05;2 - 0/4 - OOOS
DATE 5-0-03
TYPE OF SYSTEM
OWarrn Air Plants
OGravity
o Mechanical
~ir Conditioning
OVent. System
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
L-U\ tV0K
,O(\~d-4
a \,00
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99,50
Residential, Heating Only (New Construction) $64,50
Estimated Cost $ :) j 000 ( DO
,
Industrial, Commercial & Multi-Family
$39.50
$39.50
$39,50
Residential, Additions & Alterations
Residential, AC Only
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
NJrl-(Pd.~
.50
"~~
~/LDING 'NrrH
PE1=IMr,.
(Offic:e Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
. Paid I Receipt No.
r ~~e@ [ 0 W ~ Fry
24 hour notice for all inspections (952) 447 ~ ~o, N~~s2') <87ta88 U I'
16200 Eagle Creek Avenue, Prior Jake, MN 55372 :.J
Date
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METRO GENERAL SERVICES
763-428-2968
f'. 1
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YULOW - .P'I'\.ICA"T
GOLD . CITl'
CITY OF PRIOR LAKE
SEWER-AND WATER PERMIT
rAA 95~- 1/'/7-1./z-l/r
S.w. No.
3-'d'lQ
Sewer and Water
contractors must
be registered
with the city.
APPLICANT::Y"v1.o1Ao ~~~PHONE: 7h2. - tfdJ-0l.938
ADDRESS: ~qO 0~ m~ NE . DATE: ~
SIGNATURE: \~g p~ BLDG. PERMIT 1f
SITE ADDRESS: 50 C),() -p.,,'6u.U.- ~ 1:. I~ PlOt
FILL ~~ THE BLANKS
NOTE:
Estimated length of water service ~~
Size of water service (" inch(es).
Location of any couplings from structure ~
feet.
feet.
Type of sewer pipe. ABS
L ,.
PVC - cast Iron
Estimated length of sewer line
=::>c')
feet.
Clean out
structure.
(if required), located at
~/A-
from
feet
===:;==~==============~==============;===============~==========~=
This application becomes your permit when approved.
BY
DATE:
========}7:j~=~~~=~===========================================
FEES: Il~d ..e M ,,7- Sewer and water line connection permit.
~ C" - , Surcharge
c... IJ'tJ t-ee- TOrrAL
Fee' for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
* . Sewer and water perrn1ts'issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and watePA'~~~~s are
issued. BUILDING r;;fl1
:::~~I: l~ [E D [IJ [E ffJ'rl E~~:T B:A1D 11..~MIT
~R 1 8 2003 /l;i , y)
/ Ph. (~S2) 447-4230/ FAX ('152) 447-4245
An Equal Opportunity Employer
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"f':.{'~ ,,'$f '.~".-:"I'" By_ ..
'W"'~ _>f,.1'~.' .
'i ;:f_ ~:f ":, 16200 Eagl~. Creek Av. S.B., Prior
.1 ~':~".." '._
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~.
NATURE OF WORK 7:III!J1L..
USE OF BUILDING
PERMIT NO. DATE ISSUED .. ~ ./~.(J,3
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING /) 1/ t.{ (j.-tj h I ~ I? - ,ZO/ d3 J
. .
I FOUNDATION (Prior to Backfill) I rrr....J / VlIY' I "3 -}.S---,~ / L,-/ '0)
PLACE NO CONCRETE UNTIL ABOVE" HAS BEEN SIGNED I
ROUGH - INS
SEWER I WATER I SEPTIC 1+( { 4 Uo1 \ b JI//P-
FRAMING rVf./
INSULATION ~
ELECTRICAL
PLUMBING wr ~ ' )-f{ ,- Ir(( (j\I.1 M yvf
HEATING (if required) J/JIf/
FIREPLACE
, GAS LINE AIR TEST
'S -/1-0')
ra~f ()~c1
C-//d.O
~-(O-r(J
6-, O-fA
./
GRADING (Prior to Sodding)
BUILDING f\f~f (}V\~ \ I
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS I.t
IV!)
'\, l,u> ~
V1J(J I ""/~rJ>
V'vv? ,.... fC( 0
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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BVHN~w.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378 · 952-894-0005
Ors1at Test Report for Jobl 5 15- 7
Address 5020 (j!..ull I!f..(~/!) '1CAii.-
Occupant (l.A II ':1 ',~/'-'
Date of In81311 (" \ {,'> 01
Type of HT, F/A" HW
Other
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Stack Temp
Date Tested
Company
Technician
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Space HT
Unit HT
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HOT SURFACE IGNITOR
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BURNSVILLE HEATING & AIR CONDITIONING
L..{)
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SOLD
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
/ -Zct-a;
{JI/-? 1f1>
CONTR.
PERMIT NO.
? -2 7q
,
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
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II- WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK, " FOR REINSPECTION BEFORE COVERING
Inspector: 1/14-' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S()UJ 81,)<< /++,5
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o !IlISULA TION
d'FINAL
o SITE INSPECTION
COMMENTS:
~4( ~Y4J.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
af??/jJV~(
~,;(
DATE TIME
7-V-rJ
7-271
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Sa.d cI ~-.: 's
'1-1--0 :>
O'W~K SATISFACTORY, PROCEED
.P1foRRECT ACTION AND PROCEED
o CORRECT :,!;~CALL FOR REINSPECTION BEFORE COVERING
Inspector: -11lY"" 7 I' .tt "O~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
? -ctNtO VY/ 1'/' f
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSNOTl
DATE
,12-1 lE3-
sa..o ~\)ff H~~l~ '\~l-
N\klP~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(.,.uA.& ~O~.... nl/..
'\
L:,Q..~( -? -- ()\/...
,
nile
~ ~-l.Il1
o EXIQIFILLING
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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\"i fllPdJ-,
4~ ~O Soij
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7--/7
ADDRESS .5" Ol-o ~(tJr.?- If1-s
OWNER CONTR.
PHONE NO.- PERMIT NO. :s - :271
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~UMBING FINAL o GASLINE AIR TST
o SITE INSPECTION I MECH FINAL 0
COMMENTS: 05
JilII"YiORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: vvr 1/' 17 '1f7 Owner/Contr: .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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